_____________________________________________________________

#Adresants#                                                                              (Pastmarka)

#Adresanta adrese1#

#Adresanta adrese2#

#Adresanta indekss#

#Org (ģen)#

#Amats (dat)#

#vārds dat)# #uzv (ģen)# #kgam/kdzei#

#Adresāta adrese1#

#Adresāta adrese2#

#Adresāta indekss#

_____________________________________________________________